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Vol.51 (2005) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/175

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Title: Low serum ferritin levels as a clue to colonic cancer detection in two patients with coronary artery disease: a case report
Other Titles: Cancer detection by low serum ferritin
Authors: Yaoita, Hiroyuki
Ohkawara, Hiroshi
Uekita, Hironori
Mitsugi, Minoru
Tajima, Hiroko
Kaneko, Hironori
Hoshino, Yutaka
Otani, Satoshi
Gotoh, Mitsukazu
Maruyama, Yukio
Affiliation: 内科学第一講座
外科学第一講座
Source title: Fukushima Journal of Medical Science
Volume: 51
Issue: 2
Start page: 95
End page: 104
Issue Date: Dec-2005
Abstract: We diagnosed colonic cancer using low serum ferritin levels as a clue in two patients with cardiac or cardiopulmonary disease. In the course of the follow-up, the serum ferritin levels decreased to less than 18 ng/mL without significant appearance of iron-deficiency anemia. One patient showed positive immunological fecal occult blood test results whereas the other not. Both patients rejected further colonoscopy because of their concern for stress in relation to their cardiac or cardiopulmonary diseases, but instead agreed to positron emission computed tomography (PET) using a F-18 deoxyglucose at their own expense. In both patients, PET documented abnormal tracer accumulation in the colon. From the results of PET imaging, they eventually agreed to colonoscopy. A colonic adenocarcinoma was detected at the site of the positive PET finding in each patient. Both patients underwent curative resection of the cancer. The detection of the levels of serum ferritin may be available for the screening colonic cancer in patients declining colonoscopic examination.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/175
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/175/1/FksmJMedSci_51_p95.pdf
ISSN: 0016-2590
PubMed ID: 16555630
Rights: © 2005 The Fukushima Society of Medical Science
Appears in Collections:Vol.51 (2005)

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FksmJMedSci_51_p95.pdf1.66 MBAdobe PDFDownload

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